Provider Demographics
NPI:1285845032
Name:KAKARLAPUDI, GANESH (MD)
Entity Type:Individual
Prefix:
First Name:GANESH
Middle Name:
Last Name:KAKARLAPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632958
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2958
Mailing Address - Country:US
Mailing Address - Phone:513-735-0200
Mailing Address - Fax:513-735-0204
Practice Address - Street 1:2055 HOSPITAL DR
Practice Address - Street 2:SUITE 325
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1978
Practice Address - Country:US
Practice Address - Phone:513-735-0200
Practice Address - Fax:513-451-0036
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57008782207R00000X
OH35-090734207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3054626Medicaid
KA4293661Medicare PIN